Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $36.22 / $36.22	Facility		$29.99	$36.22	$36.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $36.22 / $40.32	Professional		$29.99	$36.22	$40.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $73.27 / $77.81	Facility		$73.27	$73.27	$77.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $40.85 / $52.18	Professional		$40.85	$40.85	$52.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.81 / $46.81 / $50.09	Professional		$46.81	$46.81	$50.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $41.91	Facility		$41.91	$41.91	$41.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $41.91	Professional		$30.59	$30.59	$41.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $65.94 / $87.92	Professional		$51.29	$65.94	$87.92
Medcost Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $45.06 / $82.22	Facility		$21.60	$45.06	$82.22
Medcost Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $91.59 / $122.05	Professional		$48.00	$91.59	$122.05
Sentara Facility/Professional Facility Modifier Low / Median / High Price $38.15 / $55.30 / $93.62	Facility		$38.15	$55.30	$93.62
Sentara Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $55.30 / $93.62	Professional		$38.15	$55.30	$93.62
United Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $36.56 / $55.07	Professional		$30.94	$36.56	$55.07